Mrs Amy Goodfellow Wray, PA-C is a medicare enrolled "Physician Assistant" physician in San Diego, California. Her current practice location is
200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(800) 926-8273.
Mrs Amy Goodfellow Wray is licensed to practice in California (license number PA17578) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1396762076.
Physician's Profile
Full Name | Mrs Amy Goodfellow Wray |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 200 W Arbor Dr, San Diego, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396762076
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 05/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 9638170632
- Enrollment ID: I20070117000440
Medical Identifiers
Medical identifiers for Mrs Amy Goodfellow Wray such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396762076 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | PA17578 (California) | Secondary |
363A00000X | Physician Assistant | PA17578 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amy Goodfellow Wray is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Amy Goodfellow Wray, PA-C File 57326, Los Angeles, CA 90074-7326 Ph: (800) 926-8273 | Mrs Amy Goodfellow Wray, PA-C 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273 |
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